D-Vine Grace Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-161264 Issued in VA

Legal business name

D-VINE GRACE HOME HEALTH CARE LLC

Doing business as

Home Health Care

Practice address

114 Chowan Dr
A
Portsmouth, VA 23701-2452

Phone

(757) 673-0796

NPI assigned

Jun 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nicky Charles

Title

Ceo/Owner

Phone

(757) 673-0796

Specialties & licenses 1

Addresses

Other names 1

• Home Health Care Doing business as

Tax ID family

D-Vine Grace Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• D-Vine Grace Home Health Care LLC

  • Home Health Agency
  • Portsmouth, VA
  • NPI 1861883860
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1174972376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CHOWAN DR",
            "address_2": "A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHOWAN DR",
            "address_2": "A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012452",
            "telephone_number": "757-673-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-VINE GRACE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "NICKY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "757-673-0796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-161264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Current Counseling LLC
• Nathan Samuel Cutler, M.D.
• Elizabeth Cutter, BSDH,RDH
• David H Cyr
• D & D Medical Transportation LLC
• D-Vine Grace Home Health Care LLC
• Christopher Francis D'Esposito Jr., MD
• D'Vine Intervention Counseling Center
• D&J Proficient Health Care LLC
• D&J Proficient Skilled Home Healthcare LLC

• Home Health Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.